Policy plan 2019

Foundation Support Mental Health Care Tanka Tanka




Psychiatric Hospital Tanka Tanka in The Gambia is one of the few psychiatric hospitals in West Africa.

It is part of the General Hospital Edward Franciss Small Teaching Hospital (EFSTH) in Banjul (capital of The Gambia).

It is a closed institution where 80 to 100 patients stay twenty-four hours a day. This usually concerns the socially weaker and underprivileged people with acute psychiatric problems who are often expelled from society.

Tanka Tanka receives EFSTH funding for food, medicine and employee salaries. All other costs such as, accommodation, further training, maintenance of the buildings and therapies must be paid by the Tanka Tanka hospital itself. In addition, there is regularly insufficient money for medicines and food.

Until the end of 2017, Tanka Tanka was supported by the Gambia Tanka Tanka Foundation (former foundation). She had the mental hospital built in 2009 and continued to support it in the following years.

After the work was completed by the old foundation, a new foundation (Foundation Support Mental Health Care Tanka Tanka) decided to continue the work. The new foundation (FSMHCTT) was established on March 22, 2018

FSMHCTT has drawn up this concise policy plan for 2019.



The foundation is committed to improving the quality of psychiatric care in the broadest sense at the Psychiatric Hospital Tanka Tanka.


It uses the following core values:


Integrity (reliability, an open way of dealing with each other) and service (ambition is aimed at the importance of psychiatric patients and the Tanka Tanka organization);


Committed and decisive: focused on achieving results; decision-making on projects is transparent;


Approachable: taking and taking responsibility;


Decisive: moving from problem definition through analysis to action.



The foundation would like effective and efficient clinical care to be offered to patients with psychiatric problems, regardless of their gender, orientation, religion, nationality or origin.

This requires that the quality of (psychiatric) care is good, that the buildings in which the patients and staff reside are safe and that the management of the hospital or staff supports these outcomes.

In order to achieve this desired situation, the foundation strives - in addition to setting up and supporting projects - to make the psychiatric hospital more independent (in consultation with EFSTH and the government).



Objective and strategy:

The foundation's goal is: to support the Psychiatric Hospital Tanka Tanka in The Gambia.

The Foundation endeavors to achieve this goal by:
a) transferring or having transferred knowledge and expertise with regard to care, management and facilities;
b) raising or raising funds, attracting sponsors, organizing recruiting events, activities and / or meetings;
c) to provide or to provide and to provide information, including through the use of the various forms of media available;
d) cooperate with various organizations and institutions;

e) to do or have performed any further actions that are related to the above in the broadest sense or that, in the opinion of its management, may be conducive to this, useful and / or desirable.
The foundation does not intend to make a profit.

Important principles are:

- providing support based on the demands of Tanka Tanka management and employees.

- clear agreements between the foundation and Tanka Tanka about what support can be expected;


- cooperation with parties in the Netherlands (GGZ, NGOs, construction world, education, sponsors, etc.) and in The Gambia (government,

other organizations that focus on psychiatry, etc.);


Members of the foundation regularly travel to The Gambia at their own expense. As a result, the connection with the employees and the problems of the psychiatric hospital is great.


Current situation:

Last year, the foundation mainly used to get to know Tanka (better).

In addition, three projects were supported. Particular care has been taken to ensure that patients have adequate medication, wound care has been optimized and new batteries for the solar system have been purchased for the electricity supply.

In order to tackle matters in the future as structurally as possible in the future, we have decided, as mentioned earlier, to strive for the hospital to become independent.




In order to realize the mission, the foundation works closely with the management and employees of Tanka Tanka from a project-based approach, with the aim that they are in charge.


The projects will focus on:


- Quality of care,

- Quality of management,

- Quality of the facilities (building, maintenance, facility services, etc.);


This will require targeted knowledge increase and training on the one hand, and resources and (financial) support on the other.


We are trying to realize two new projects in the short term. On the one hand, the fencing in the men's department must be renewed, so that a safe situation is created especially at night. In addition, new sanitary facilities for male patients are necessary.



The Foundation is located in Haarlem, Krokusstraat 47, 2015 AE Haarlem.

Chamber of Commerce number: 68254105

RSIN or tax number: 857362276

The foundation can be reached via foundationsmhctankatanka@gmail.com or via the chairman (tel. 06-21892058) and the secretary of the board (tel. 06-81948873).

Internet address: www.supporttankatanka.com

ANBI status has been requested.



The board consists of five persons, of which the chairman, secretary and treasurer form the daily board.

The board consists of

Ton Appel: chairman

René de Graaf: secretary

Jan Verschuur: treasurer

Mireille Vermeulen: member, focus area: quality of care (medication and wound care)

Jan Ramondt: member, focus area: quality of care (safety)


It is the task of the board to realize the objective of the foundation (including the resources to be used for this).

The board meets about four times a year. In the periods between the meetings, the board consults weekly (mail, messages, telephone) about upcoming, desired and current projects, as well as any costs associated with this.

Accountability is given to the entire board during board meetings.

At the meeting, the board can only take valid decisions on all subjects that are discussed if the majority of the board members in office are present or represented at the meeting. For further information, see the articles of association.


Together with the chairman, the secretary maintains contact with the relevant persons and responsible persons in The Gambia (Psychiatric Hospital Tanka Tanka).


The foundation does not employ any employees. She does, however, use ambassadors and advisors.



The first financial year of the FSMHC Tanka Tanka Foundation covers the period 22-3-2018 to 31-12-2018.

The capital as at 31-12-2018 is 3878 euros.

For further information, see the financial statements (on the website).

The foundation's assets were obtained through donations from private individuals (who have or feel a connection with the purpose of the foundation) and institutions that are connected in any way with medical or psychiatric care (in the Netherlands).


All income is used to carry out projects (exclusively for the benefit of Psychiatric Hospital Tanka Tanka in The Gambia) and the costs of this are all covered by projects in The Gambia.

No debts are incurred.

Projects are only started if financial resources are also available.


The board members do not receive any remuneration or (travel) compensation (all board members commit themselves voluntarily and for their own account, including traveling to The Gambia). The board decides on a case-by-case basis whether an expense allowance applies in exceptional cases.


The project administration is carried out by the secretary. The financial administration is conducted by the treasurer.

Secretary and treasurer are in close contact about upcoming projects, the project completion process, payment, checking the correct implementation and maintenance of the project.


Recruitment funds

The foundation's projects are funded by:
income derived from the activities carried out by the foundation;
b. subsidies and / or fundraising and / or crowdfunding;
c. donations and gifts;
d. donations, inheritances, bequests, and work orders;
e. revenues of the assets;
f. all other contributions and income.
The board is committed to bringing in money of at least 10,000 euros per year.

The fixed costs will not change.


Asset management and utilization:

The foundation does not hold more capital than is reasonably necessary for the continuity of the planned activities for the purpose of its objective.
None of the directors can dispose of the assets of the foundation as if it were their own assets.

If the foundation is dissolved, after the creditors have been paid, the assets will go to a (other) Algemeen Nut Beogende Instelling (ANBI) to be designated by the liquidator (s) with a similar objective as the present foundation, or of a foreign institution that exclusively or is intended almost exclusively for the common good and has a similar objective.



Haarlem, March 28, 2019